A systematic review of school-based smoking prevention trials with long-term follow-up

被引:190
作者
Wiehe, SE
Garrison, MM
Christakis, DA
Ebel, BE
Rivara, FP
机构
[1] Indiana Univ, Sch Med, Childrens Hlth Serv Res, Indianapolis, IN 46202 USA
[2] Univ Washington, Dept Pediat, Seattle, WA 98195 USA
[3] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA
[4] Univ Washington, Inst Child Hlth, Seattle, WA 98195 USA
关键词
smoking prevention; school; youth;
D O I
10.1016/j.jadohealth.2004.12.003
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Background: Several systematic reviews of school-based smoking prevention trials have shown short-term decreases in smoking prevalence but have not examined long-term follow-up evaluation. The purpose of this study was to conduct a systematic review of rigorously evaluated interventions for school-based smoking prevention with long-term follow-up data. Methods: We searched online bibliographic databases and reference lists from review articles and selected studies. We included all school-based, randomized, controlled trials of smoking prevention with follow-up evaluation to age 18 or 12th grade and at least 1 year after intervention ended, and that had smoking prevalence as a primary outcome. The primary outcome was current smoking prevalence (defined as at least I cigarette in the past month). Results: The abstracts or full-text articles of 177 relevant studies were examined, of which 8 met the selection criteria. The 8 articles included studies differing in intervention intensity, presence of booster sessions, follow-up periods, and attrition rates. Only one study showed decreased smoking prevalence in the intervention group. Conclusions: Few studies have evaluated the long-term impact of school-based smoking prevention programs rigorously. Among the 8 programs that have follow-up data to age 18 or 12th grade, we found little to no evidence of long-term effectiveness. 0 2005 Society for Adolescent Medicine. All rights reserved.
引用
收藏
页码:162 / 169
页数:8
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